<unavail> in Portland, OR

is a primary clinic (Clinic/center - Primary Care) in Portland, Oregon. The current practice location for is 2332 Nw Irving St, Portland, Oregon. For appointments, you can reach them via phone at (503) 222-1865. The mailing address for is 4279 Se Harvey St, Milwaukie, Oregon and phone number is (503) 975-6566.

is licensed to practice in Oregon (license number 3851) and its NPI number is 1730596511. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 222-1865.

Contact Information


	2332 Nw Irving St Portland OR 97210-3225
	(503) 222-1865
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	2332 Nw Irving St, Portland, Oregon
Authorized Official Name and Position	Brad Farra (OWNER)
Authorized Official Contact	5039756566
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4279 Se Harvey St Milwaukie OR 97222-5816 Ph: (503) 975-6566	2332 Nw Irving St Portland OR 97210-3225 Ph: (503) 222-1865

NPI Details:

NPI Number	1730596511
Provider Enumeration Date	07/14/2014
Last Update Date	07/14/2014

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730596511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	3851 (Oregon)	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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- Primary Care in Portland, OR